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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103911833
Report Date: 05/08/2024
Date Signed: 05/08/2024 10:16:49 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2024 and conducted by Evaluator Ka Vang
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240408141819
FACILITY NAME:NAVARRO, ESTHER FAMILY CHILD CAREFACILITY NUMBER:
103911833
ADMINISTRATOR:NAVARRO, ESTHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 375-4301
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:14CENSUS: 4DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Esther Navarro, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Day care child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 05/08/2024, Licensing Program Analysts (LPAs) Ka Vang and Yesenia Fierro arrived at the daycare home unannounced to provide the complaint finding. During the unannounced inspection, LPAs met with Licensee Esther Navarro who speaks Spanish. LPA Yesenia Fierro conducted Spanish translation. LPAs toured the facility, and a census was taken.

Throughout the course of this investigation, LPAs conducted interview with Licensee, daycare parents and records were reviewed. It was determined that there was an incident that occurred in the facility and it was reported to parent/authorized representative via phone call and during pick up.

Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

(Continued on LIC9099-C)

Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 04-CC-20240408141819
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: NAVARRO, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 103911833
VISIT DATE: 05/08/2024
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency cited.

Licensee was provided a copy of appeal rights. A notice of site visit (LIC 9213) was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee Esther Navarro.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2